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1.2.

How this guide was created.
The current guide is derived from the HIV community-based testing practices in Europe (HIV-
COBATEST) project (Grant Agreement N 2009 12 11) co-funded by the Executive Agency for Health and Consumers (EAHC). More information can be found on the site www.cobatest.org
This project aims to foster early HIV diagnosis and linkage to care through the implementation and improvement of CBVCT services and programs, which are capable of reaching vulnerable and most-at-risk populations who do not have access to other HIV testing settings. Thus, these populations could benefit from early diagnosis, which allows early treatment and enhancement of quality of life for those living with HIV/AIDS. Furthermore, the knowledge of one’s serology is away of adapting one’s own behavior and avoiding HIV transmission. For all these reasons, the HIV-COBATEST project aims to facilitate the implementation and improvement of CBVCT services on the basis of existing practices Service delivery approaches to HIV testing and counselling (HTC): a strategic HTC policy framework. World Health Organization 2012


June 2017 2
Theoretical framework regarding the implementation of cbvct .......................... 12
The main objective of this document
Definition, objectives and methodology of this guide
How this document should be used.
The objectives of this guide are
The methodology and sources of information used for
European and non-european guidelines
We can state that this document was created from existing experiences in european cbvct centers
A few caveats
Health & sexual health promotion approaches
What is health promotion
Community-based approach – community health
Cbvct in scaling up strategies
Community-based approach
Quality assurance approach
The european quality instrument for health promotion (equihp)
Quality assurance
Figure 1 - dynamics of health promotion projects
Easier access to testing by taking the needs of hard-to-reach populations into
Community based vct can have an impact on three levels:
To foster cbvt accessibility for most-at-risk and hard- to-reach populations,
To be compatible with people’s daily lives, cbvct should
For a positive and comprehensive approach to health and sexual health,
To guarantee sustainability, cbvct services need to
Cbvct implementation among and with populations
Fixed or mobile cbvct programmes should consider
Staff and people involved in cbvct
Items sub-items
Cbvct practices
Before the test
C) after the test
Negative result
Support after positive result
Confidentiality, anonymity, privacy
System for conducting assessments of service quality at cbvct centres
Consistency with health promotion principles
Project management
Sustainability
Appendix 1: ten main principles to guide member states as they endeavor to scale up hiv
Appendix 2: self-evaluation tool
How do we encourage participation in the self-assessment?
Preparing the materials
Filling in the self-assessments grids
Our project forms partnerships to help ensure a global response
Scale of the self-
The cbvct project is based on a participative analysis of
The healthcare services that are being offered are adapted
Regarding your practice …
Our organisation / project is developing its ability to
Regarding your practice…

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